What is a hysteroscopy? A hysteroscopy is a quick procedure often used in the IVF context to diagnose or rule out fibroids, polyps, adhesions, and other irregularities. This procedure requires the insertion of a speculum and a small telescope that allows your doctor to see the inside of the uterus.

Do I need one, and when is it completed?

Fertility clinics often recommend a hysteroscopy before an embryo transfer and consider it good for one year. Clinics will vary on whether they require this or recommend it - many require this at your first workup or before a transfer, and some may only suggest one if they suspect any of the abnormalities listed above.

This typically occurs between days 5 to 12 of the menstrual cycle, ideally once bleeding has stopped. If you're schedule for a test and it falls outside of this window, let your clinic know.

What can I expect?

Due to the nuances in the structure of our bodies and in our perception of pain, no two individuals will experience this procedure in the exact same way. However, in my own experience and the experience of many I've worked with, it most often causes a burning, cramping sensation that subsides once the procedure is complete. While some experience only mild cramping, others will experience more discomfort. Additionally, some clinics will do the procedure under anesthesia - so this is important to note. Always make sure you have clear directions from your doctor about how to properly prepare, and make sure you are aware of what activities you will need to avoid post-procedure, such as bathing, swimming, and intercourse. Expert tip: Come prepared with a breathing practice that resonates with you. This can help with any discomfort or nerves during the procedure.